How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $707.95 | Facility | None | $251.19 | $251.19 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $251.19 | $257.04 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $77.62 | $83.18 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $169.82 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $169.82 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $245.47 | $346.74 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $69.18 | $75.86 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $269.15 Typical High $331.13 | Professional | TC · Technical part | $165.96 | $269.15 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $79.43 Median $199.53 Typical High $323.59 | Facility | None | $79.43 | $199.53 | $323.59 |
CareSource Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $125.89 | Professional | None (both parts) | $72.44 | $107.15 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $794.33 | Facility | None | $416.87 | $416.87 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $97.72 Typical High $141.25 | Facility | 26 · Professional part | $20.89 | $97.72 | $141.25 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $194.98 Typical High $275.42 | Facility | TC · Technical part | $41.69 | $194.98 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $562.34 Typical High $1,819.70 | Professional | None (both parts) | $251.19 | $562.34 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $436.52 | Professional | 26 · Professional part | $72.44 | $128.82 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $416.87 Typical High $1,318.26 | Professional | TC · Technical part | $181.97 | $416.87 | $1,318.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $33.11 | $33.11 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $602.56 | Professional | None (both parts) | $309.03 | $446.68 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $79.43 | $91.20 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $346.74 Typical High $467.74 | Professional | TC · Technical part | $218.78 | $346.74 | $467.74 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $125.89 Typical High $204.17 | Professional | 52 · Reduced service | $123.03 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $81.28 | Professional | 53 · Discontinued | $48.98 | $50.12 | $81.28 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | CT · Older CT scanner | $213.80 | $213.80 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $239.88 | Professional | FX · Film X-ray | $199.53 | $199.53 | $239.88 |
Where Kentucky sits
The same service costs 5.8 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kentucky· 40th of 51
$347
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.